Individual provider Active NPI

Avery Rose Wasmanski, M.ED., LPC

  • Mental Health Counselor
  • Pottstown, PA
National Provider Identifier
1346507043
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC009623 Issued in PA
Practice address
1610 Medical Dr Ste 310
Pottstown, PA 19464
Phone
(610) 970-5000
Fax
(610) 970-3331
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC009623 PA Primary

Addresses

Primary practice location

1610 Medical Dr Ste 310
Pottstown, PA 19464

Mailing address

25 W Cherry LN
Royersford, PA 19468-1301
Phone (484) 995-1190

Other names 1

  • Avery Rose Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PC009623PAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1346507043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CHERRY LN",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681301",
            "telephone_number": "484-995-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 310",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-970-5000",
            "fax_number": "610-970-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASMANSKI",
        "first_name": "AVERY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "CARTER",
            "middle_name": "ROSE",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.